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Discussion of advance care planning on end of life decisions with lung cancer patients in Wuhan China: Attitude, timing, and future directions

Internal Medicine Journal Nov 17, 2020

Hu L, Chu Q, Fan Z, et al. - Advance care planning (ACP) in China has been hampered for decades vs other countries, so researchers analyzed Chinese patients suffering from lung cancer for their knowledge of ACP, end‐of‐life care preferences as well as the predictors of their preference for ACP and who should mention ACP. This analysis involved 258 lung cancer patients who completed a questionnaire‐based interview. Among these patients, 91.1% preferred ACP on end of life (EOL) issues. The desire to make EOL decisions on their own was present in 160 (60%) patients. Familiarity with advance directions was seen in only 10% of patients. For 92.2% of patients, ACP was not mentioned. Significant predictors of the preference for autonomous ACP were gender (men), tumor stage (Stage III; Stage IV) and the number of children. Overall, preferences toward ACP were demonstrated by Chinese patients, however, adequate knowledge was lacking. Physicians may start ACP dialogue first for female patients and patients undergoing treatment.

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